MEMBERSHIP APPLICATION
ICANN GNSO Non-Commercial Users Constituency (NCUC)
To: NCUC Secretariat
c/o The Convergence Center
Syracuse University School of Information Studies
307 Hinds Hall
Syracuse, NY 13244 USA
[log in to unmask]
Please provide the following information and send it to the address above, preferably in electronic form by email. For details and questions, please refer to the NCUC charter at http://www.ncdnhc.org/current_charter.htm first.
A) Organisation Details
Name of the Organization: Electronic Frontiers Australia Inc
Name of the Director: Chairman Dale Clapperton
Domain Name of the Organization: www.efa.org.au
Mailing Address of the Organization: PO Box 382 North Adelaide SA 5006 Australia.
Email address of the organization: [log in to unmask]
B) Representatives
We designate the following person as our official representative in NCUC:
Name: Kimberley Heitman
Telephone Number:+61439 938238
E-mail address: [log in to unmask]
We designate the following person as our alternate representative in NCUC:
Name: Dale Clapperton
Telephone Number:+61416 007 100
E-mail address: [log in to unmask]
C) Type of membership
X Small Organization (under 1000 members or under 200 employees / dues: US$ 50 for two years)
___ Large Organization (1000 or more members or 200 or more employees / dues: US$100 for two years)
___ Request for membership fee waiver. As requested, we attach our budget details and explanation
Membership dues must arrive to enable membership rights unless the Executive Committee issues a waiver.
No virus found in this outgoing message.
Checked by AVG Free Edition.
Version: 7.5.476 / Virus Database: 269.9.9/870 - Release Date: 6/26/2007 10:07 AM